Laserfiche WebLink
Response Form <br />Send to purchasing@ircgov.com <br />(please use Subject: "Response to RF12023025- <br />Shooting Range Utilization") <br />Responses accepted until p.m.'on:JanwryN, <br />2023 <br />Response Form — Shooting Range Utilization <br />Applicant Name: <br />Owner/Contact: <br />Email: Phone Number: <br />Address: <br />Website: Facebook: <br />Federal Tax ID: <br />SunBiz Registration: <br />Attach to this form, the following supporting documentation: <br />Document how would the range would be utilized (include proposed annual or daily fee. If <br />F-1 <br />proposing daily fee, note how many days per year you plan to utilize the range) <br />❑ Signed IRS W-9 Form, dated within last six months <br />❑ Evidence of insurance reflecting levels required above, or letter from carrier indicating ability to <br />obtain <br />Documentation of certifications, business license, etc. <br />❑ Sample agreement (if applicable) <br />Issued January 11, 2023 — RETURN ONLY THIS FORM AND LISTED SUPPORTING DOCUMENTATION <br />91 <br />